Admin Client || Dee Karawadra

Created On Jul, 29 2024 16:12pm ID #7766 Back

Merchant (Business) DBA Name : Home Cut Donuts

Business Legal Name : Sreynuch Moeurn

Contact Name : SREY MOEURN

Contact Phone Number : 337-989-0088

Physical Address : 5611 Johnson Street

City : Lafayette

State : LA

Country :

Zip : 70503

Email Address : [email protected]

<?xml version="1.0"?>
<object>
  <sales_number>12232233</sales_number>
  <sales_office/>
  <sales_signing_rep/>
  <irs_tax_id_type>Social Security Number</irs_tax_id_type>
  <irs_tax_id_no>623-19-2534</irs_tax_id_no>
  <ownership_type/>
  <business_incorporated>Louisiana (LA)</business_incorporated>
  <business_description>baked goods retail</business_description>
  <mailing_address>5611 Johnson Street</mailing_address>
  <mailing_city>Lafayette</mailing_city>
  <mailing_state>LA</mailing_state>
  <mailing_zip>70503</mailing_zip>
  <business_phone>337-989-0088</business_phone>
  <contact_first_name>SREY</contact_first_name>
  <contact_last_name>MOEURN</contact_last_name>
  <contact_phone>337-989-0088</contact_phone>
  <location_address>5611 Johnson Street</location_address>
  <location_city>Lafayette</location_city>
  <location_state>LA</location_state>
  <location_zip>70503</location_zip>
  <avg_ticket_amount>8.00</avg_ticket_amount>
  <ave_month_volume>9000.00</ave_month_volume>
  <bank_name>GULF COAST BANK</bank_name>
  <bank_transit_number>065201860</bank_transit_number>
  <bank_dda_no>1071076</bank_dda_no>
  <gross_vs_net>Gross Settlement</gross_vs_net>
  <refund_policy/>
  <owner1_first_name>Srey</owner1_first_name>
  <owner1_last_name>Moeurn</owner1_last_name>
  <owner1_home_address>8927 OAK CREEK LANE</owner1_home_address>
  <owner1_home_city>ABBEVILLE</owner1_home_city>
  <owner1_home_state>LA</owner1_home_state>
  <owner1_home_zip>70510</owner1_home_zip>
  <owner1_home_phone/>
  <owner1_title>Owner</owner1_title>
  <owner1_ownership_perc>100</owner1_ownership_perc>
  <owner1_dob>1978-07-05</owner1_dob>
  <owner1_social_securrity_no>623192534</owner1_social_securrity_no>
  <owner1_form_of_id>Drivers License</owner1_form_of_id>
  <owner1_number>010577804</owner1_number>
  <owner1_expired>2027-07-05</owner1_expired>
  <owner1_issuer_state>LA</owner1_issuer_state>
  <owner1_issued_date>2021-06-23</owner1_issued_date>
</object>

PRE-APP DETAILS